MegaCode Kelly, Directions For Use - English
MegaCode Kelly, Directions For Use - English
MegaCode Kelly
www.laerdal.com
E NGLISH
E NGLISH
Table of Contents Cautions and Warnings
Introduction .............................................................................................................1 • This product contains Natural Rubber latex which may cause allergic
Cautions and Warnings (Intended Use) ............................................................1 reactions when in contact with humans.
Items Included .........................................................................................................2 • There are electronic components mounted inside the airway head. The
Unpack ......................................................................................................................3 following techniques should not be performed on this manikin due to the
a) Attaching the Legs ..........................................................................................3 inability to properly sanitize the airway if they are performed:
b) SimPad Connections.. ....................................................................................3 • Mouth-to-mouth/Mouth-to-mask ventilation
Getting Started .......................................................................................................3 • Insertion of simulated vomit for suctioning
a) Cricothyroid Membrane ...............................................................................3 • Lubricate the oral and nasal airways liberally with the lubricant provided
b) Pupil Replacement .........................................................................................3 prior to inserting any instrument, tube or airway device into the airway.
In Use ........................................................................................................................3 Additionally, instruments and tubes should also be lubricated prior to use.
a) Obstructed Airway ........................................................................................3 • Do not allow the manikin's skin to come in direct contact with ink or
b) Tension Pneumothorax Decompression...................................................3 photocopied paper, as this can permanently stain the skin. Avoid using
c) IV Cannulation ................................................................................................4 colored plastic gloves when handling the manikin, as they may also cause
d) Intramuscular Injections ...............................................................................4 • discoloration.
e) Urinary Catheterization ...............................................................................4 Care should be taken when palpating the pulses to not use excessive
SimPad Functionalities .........................................................................................4 force as this will result in no pulse being felt. Only two individual pulses
a) Cardiac Related Skills ....................................................................................5 • can be felt at the same time.
b) Blood Pressure Arm ......................................................................................5 If a training session involves the administration of and/or drugs into
c) Heart, Breath and Bowel Sounds and Speech .........................................5 the IV arm, empty the arm immediately following the training session.
After Use ..................................................................................................................5 • Defibrillation
a) Cricothyroid Membrane/ Neck Skin Collars ...........................................5 • Onl y apply the to a post or zap plate which is
b) IV Cannulation ................................................................................................5 properly mounted on the manikin's chest.
c) Intramuscular Injection .................................................................................5 • Do not provide more than 2 x 360J discharges per minute as
d) Urinary Catheterization ...............................................................................5 an average over a period of time to prevent overheating.
e) Pneumothorax ................................................................................................6 • The manikin chest must be kept dry. Special attention should be taken
i) Mid-Clavicular .............................................................................................6 when using IV Arm.
ii) Mid-Axillary ................................................................................................6 • Do not apply conductive gel or conductive pads intended
f) Chest Drain......................................................................................................6 for patient use to prevent chest skin pitting.
Maintenance .............................................................................................................6 • Do not use cables or connectors with visible damage.
a) Cleaning............................................................................................................6 • Observe all normal safety precautions for use of
b) Extend Cleanliness ........................................................................................6 • must be performed over the two
c) Attaching/ Removing Arms ...........................................................................7 connectors only.
d) IV Arm Skin and Vein Replacement ............................................................7
TroubleShooting......................................................................................................8
Technical Data .........................................................................................................8
a) General .............................................................................................................8 Electromagnetic radiation from other radio transmitters or other
b) MegaCode Kelly Manikin .............................................................................. 8 electronic equipment may cause noise in the head speaker. To eliminate
this noise, move manikin away from the radiation source or turn the head
Parts...........................................................................................................................8 speaker volume to zero.
Introduction
MegaCode Kelly is a full-body, lifelike manikin designed for the practice of
advanced, difficult and obstructed airway scenarios and IV therapy. When
used with the SimPad System; MegaCode Kelly allows cardiac
defibrillation, pacing with or without capture and variable threshold, ECG
interpretation, measurement of non-invasive blood pressure, and the
auscultation and recognition of heart, breath and abdominal sounds.
SimPad also allows the use of the pre-recorded vocal sounds,
and live voice through the use of a wireless microphone and logging
and scenario functions.
Laerdal Recommends
Endotracheal Tube – Size 7.5
Laryngeal Mask Airway – # 4
Combitube- Large Adult or Trainer
KING LT – # 4
Needle or Catheter – Size 21-gauge or smaller
Skills Taught:
Airway Management Skills
• Obstructed airway
• Endotracheal intubation
• Nasotracheal intubation
• Digital intubation
• Oropharyngeal airway insertion
• Nasopharyngeal airway insertion
• Bag Valve Mask
• Retrograde intubation
• Lightwand intubation
• Laryngeal Mask Airway insertion
• Laryngeal Tube Insertion
• Combitube insertion
• Trans-Tracheal Jet Ventilation
• Surgical cricothyrotomy
• Needle cricothyrotomy
• Suctioning techniques
• Stomach auscultation to verify proper airway positioning
Drug Administration
• IV insertion, infusion and bolus into peripheral veins of forearm,
antecubital fossa and dorsum of the hand
• Subcutaneous and intramuscular injections
A
Fig. 2
Laerdal Recommends
A tight seal will enhance actual feel and sound of penetrating
cricothyroid membrane, and facilitate full rise and fall of the chest
Photo 1
during bag valve mask ventilation.
Photo 2
Pupil Replacement
MegaCode Kelly is delivered with a set of pupils containing normal pupils
mounted in the head. A separate case contains 3 sets of plastic pupil
inserts (normal, constricted and dilated pupils) for use in simulating other
conditions.
Photo 3
3. Attach the “blood source” bag with IV tubing to one of the latex tubes
exiting the manikin’s right IV arm.
4. Attach an empty bag with IV tubing to the second latex tube exiting the
manikin’s right IV arm. This bag will serve as the collection reservoir.
5. Control of blood from arm, via clamp on collection reservoir tubing.
Put collection bag on to allow the now closed system to gravity
Photo 6 (Area where clamp is placed.)
feed.
6. Hang “blood source“ bag from IV pole and open clamp to allow
8. Squeeze to tighten the C Clamp. This will lock the C Clamp in place.
concentrate to through arm. Note: A blood pressure cuff can be
used as a pressure infuser. This will allow the blood bag to be placed on
the or between the mattress and frame. (Photo 4)
The arm is now ready for cannulation. Train per local protocol.
NOTE: Do not use iodine as this will permanently stain the manikin
Laerdal Recommends
When using a catheter or other venipuncture device, spray with
lubricant spray for easier insertion.
Intramuscular Injections:
Medications can be administered via intramuscular injections bilaterally in
the deltoids and thighs and in the gluteal and ventro-gluteal locations.
Laerdal Recommends
Medications may be administered via local protocol. All precautions
and safety measures must be followed during training.
To re-attach the BP Arm, reverse the processes. Properly store the arm,
Laerdal Recommends the adapter and the hardware set for future use.
Caution: Follow defibrillation protocol by avoiding contact between
the paddle and any of the electrode sites while defibrillating. A load
of up to 360 joules can be delivered. 1. Place the supplied Blood Pressure cuff on Blood Pressure arm
2. Attach clear tubing on cuff to matching clear pneumatic tubing exiting
underneath the manikin’s left arm. (Photo 8)
See SimPad DFU for complete cardiac functionality and
operating information.
1. Read and follow all safety and operating instructions provided with your
defibrillator and associated equipment. Photo 8
2. This trainer can be shocked with actual voltages and current used on 3. Ensure the cable and the clear pneumatic tubing ,
a live patient. All precautions and safety measures must be used during both exiting the manikin’s right side is attached to the Link Box.
the defibrillation and pacing phases of training. Failure to follow safety
measures could result in injury or death to operators, students or
onlookers not heeding these warnings. See SimPad DFU for complete Blood Pressure Arm functionality
and operating information.
Blood Pressure Arm – (Advanced)
Left Arm Installation
The manikin is packaged with the left BP Arm attached. Laerdal Recommends
The BP Arm is designed to rotate approximately 220º. Do not insert needles into blood pressure arm.
MegaCode Kelly when used with SimPad, has heart, breath and bowel
sounds, both normal and abnormal with adjustable instructor controlled
volume. SimPad also allows the use of the pre-recorded vocal sounds, and
Photo 1 Photo
Photo 2
2
live voice through the use of a microphone.
1. Ensure that the MegaCode Kelly is connected to the
Link Box, cable located on lower left side of manikin.
See SimPad DFU for complete Heart, Breath and Bowel Sound
Auscultation and Speech functionality and operating information.
Photo 3 Photo
Photo 44 –- Inside View
Torso
Torso Left Side
After Use:
Cricothyroid Membrane/ Neck Skin Collar:
1. Remove neck skin collar, by detaching Velcro®.
2. Remove used Cricothyroid Membrane Tape from cricoid opening.
3. Cut a two (2) inch strip of Cricothyroid Membrane Tape.
4. Adhere tape to edges of cricoid opening, covering the opening with tape,
to create the actual membrane.
Photo 5 – Outside View Left
Shoulder Standard or Wound Arm
5. Trim bladder tubing to match original tubing length to fit this manikin
Fig. 3 style.
5. Lay a Neck Skin Collar into molded track around neck area of the 6. Insert the new pneumothorax bladder into the top side of the chest
manikin. (Fig 3) NOTE: If the used collar is still in good repair simply plate though the 2nd and 3rd intercostal space opening with the bladder
slide the collar in either direction for a fresh site. If the collar is showing tubing exiting though the back side of the chest plate. NOTE: The
ware, discard and replace with a new one. narrow edge of the bladder should be inserted closest to the sternum.
6. Attach collar using Velcro® strips. (See photo11)
Laerdal Recommends
The neck skin collar is designed to provide multiple sites for needle
and surgical techniques. When a fresh site is needed, slide the collar
in either direction. If the neck skin collar is showing wear, discard
and replace with a new collar.
Photo 11
Urinary Catheterization
After urinary catheterization is complete:
1. Remove complete genitalia assembly. Fig. 4
2. Working over a basin empty the reservoir.
3. Rinse thoroughly and allow to dry overnight. 3. Disconnect bladder hose from inline hose connector, being sure hose
does not fall through hole and into torso.
4. Remove bladder from pneumo pad and discard.
Pneumothorax: 5. Trim bladder tubing to match original tubing length to fit this manikin
(A) Bilateral Mid-Clavicular Sites: style. Connect new bladder hose to inline hose connector.
1. Detach the chest skin from torso from tabs at the shoulder and back and 6. Fold and insert new pneumo bladder into pneumo box.
remove. 7. Replace chest skin over torso, being sure to secure skin at shoulder and
2. Remove the hard chest plate from the torso. back tabs.
3. Disconnect bladder hose from Y connector, located on the underside of 8. Fill puncture marks on exterior of chest skin with the Bladder
the chest plate. (see photo 9) Replacement Kit.
Chest Drain:
Photo 9 Mid Axillary Site (LEFT) (Advanced)
1. Remove chest skin from tabs at shoulders and back.
4. Pinch and remove the bladder through the opening between the 2nd and 2. Remove the chest tube drain module from the left mid-axillary site of the
3rd intercostal spaces on the top side of the hard chest plate. manikin. (See photo 12)
(See photo10)
Laerdal Recommends
Use only on clean surface. Avoid felt tipped markers, ink pens, acetone,
iodine or other staining products and avoid placing the manikin on Fig. 7
newsprint or inked lines of any kind. These will stain the manikin.
5. Place new veins along grooves, (Figure 7) spot gluing as needed. (We
recommend a fast-drying glue applied sparingly every 2 to 3 inches.)
6. Generously lather arm mandrel with liquid soap.
Attaching/Removing arms:
Laerdal Recommends
1. Remove deltoid injection pad from upper arm.
2. Detach chest skin from tabs at shoulders and back. Heat arms skins before replacing on mandrel.
3. Remove skin to reveal internal portion of upper chest. This can be done with a hair-dryer.
4. Lift hard chest plate to reveal inside sockets for arm connections.
5. Place one washer on threaded 4 ½” bolt.
6. Insert threaded bolt through upper arm and through torso so that it is
7. Slide hand into skin. (Photo 13)
visible in chest cavity. (Figure 5)
Fig. 5
Photo 13
7. From inside of chest area, slip a washer, a spring and another washer on
8. Work skin over fingers, as with a glove. (Photo 14)
bolt.
MegaCode Kelly 7 Laerdal
Replacement Parts:
Product Number: Description:
312029 ........................................................... Kit, Skin/Vein Adult Multi-Venous
IV Arm
380200 ........................................................... Arm Assembly, Blood Pressure
200-02350 ..................................................... Hardware Set, Arms To Torso
380405 ........................................................... Bladder Assembly, Mid Clavicular
Photo 14 380410 ........................................................... Post Set, ECG/Defib
380445 ........................................................... Shaft, Compression
9. Work arm skin up, over mandrel. (Photos 15 &16.) 200-04250 .................................................... Skin, Chest Advanced
203-00250 .................................................... Skin, Chest Basic
380460 ........................................................... Genitalia, Blank-Adult Male
380461 ........................................................... Kit, Female Genitalia W/Urinary
Valves
380462 ........................................................... Kit, Male Genitalia W/Urinary Valves
380470 ........................................................... Belly plate Assembly
380471 ........................................................... Plug, Belly plate-Adult
Photo 15 380475 ........................................................... Pin, Pelvis
380600 ........................................................... Leg Assembly, Left Adult
380650 ........................................................... Leg Assembly, Right Adult
380700 ........................................................... Arm, Male Multi-Venous IV Training
381102 ........................................................... Strap Set, Head skin
381105 ........................................................... Neck skin Set (6)
381107 ........................................................... Teeth, Upper
381402 ........................................................... Pad Assembly, Deltoid Injection
Adult
Photo 16 200-01850 ..................................................... Set, Bladder Mid Axillary
200-00250 ..................................................... Tape, Crico-Thyroid
200-00350 ..................................................... Case, Carrying-Full Body Adult
Troubleshooting Manikin
If an error message appears on the remote control stating “no reception,” 200-00550 ..................................................... Cuff Assembly, Blood Pressure
make sure that the manikin is turned on. 200-00850 ..................................................... Chest foam, MegaCode Kelly
200-01450 ..................................................... Cable/Tube Assembly, SimPad to
Technical Data Manikin
General 200-01750 ..................................................... Thrust Assembly, MegaCode Kelly
Operating Temperature: 200-02050 ..................................................... Hardware Set, Legs to Pelvis W/
0°C - 40°C at 90% relative humidity, non-condensing Tools
Storage Temperature: 300-00150 ..................................................... Pad Assembly, Thigh Injection Adult
-15°C - 50°C at 90% relative humidity, non-condensing 300-00250 ..................................................... Pad Assembly,Ventral Gluteal
Injection Adult Male
300-00350 ..................................................... Pad Assembly, Gluteal Injection
Adult Male
300-00450 ..................................................... Valve/Clamp Set, Urinary Hosp
IV Arm Adult
Accessible veins include median, basilic and cephalic 250-21050 ..................................................... Lubricant, Manikin-4 oz Bottle W/
Sprayer
Standards/Approvals 300-00750 ..................................................... Blood, Simulated-4 oz Red
The product, when carrying the CE-mark, is in 205-03650 ..................................................... Lung Assembly
compliance with essential CE requirements and other 200-02850 ..................................................... Skin, head w/Straps
relevant provisions of council directive 1999/5/EC. 200-03050 ..................................................... Set, Pupil Inserts
200-03150 ..................................................... Airway/Tongue Assy
200-04150 ..................................................... Chest Skin (Spacer Style)